title: Clinicopathologic review of ovarian masses in Korean premenarchal girls.
abstract: OBJECTIVE
  To review the clinicopathological characteristics of ovarian masses in Korean premenarchal girls.
  
  
  METHODS
  The data collected from hospital medical records were reviewed retrospectively regarding age, presentation, diagnosis, treatment, and outcome.
  
  
  METHODS
  There were 65 premenarcheal girls who underwent surgery at Seoul St. Mary's Hospital between January 1990 and March 2012.
  
  
  RESULTS
  The most common presenting symptom was abdominal pain (n=31, 47.7%), followed by palpable abdominal masses 16 (n=16, 24.6%), abdominal distension (n=8, 12.3%), vaginal bleeding (n=4, 6.2%), incidental finding (n=3, 4.6%), difficulty in urination or defecation (n=2, 3.1%), and prenatal sonographic findings (n=1, 1.5%). Of the patients with benign tumors, including non-neoplastic lesions and benign cysts, 26 (51%) underwent cystectomy, 6 (11.8%) underwent oophorectomy, 17 (33.3%) underwent unilateral salpingo-oophorectomy and none underwent bilateral salpingo-oophorectomy. Of the patients with malignant tumors, 2 (14.3%) underwent bilateral salpingo-oophorectomy, 7 (50%) underwent unilateral salpingo-oophorectomy, 2 (14.3%) underwent oophorectomy, and 2 (14.3%) underwent cystectomy.
  
  
  CONCLUSIONS
  Abdominal pain was the most common symptom. However, the incidence of abdominal distension was higher in patients with malignant tumors than in those with benign tumors. We assessed clinical features, operative outcomes, and histological classifications of Korean prememarchal girls with ovarian masses. Further studies with a larger number of subjects are needed to confirm our results.
authors.affiliation: Department of Obstetrics and Gynecology, The Catholic University of Korea, Seoul St. Mary's Hospital, Seoul, Korea.
authors.forename: Eun Young
authors.initials: EY
authors.lastname: Ki
authors.forename: Seung Won
authors.initials: SW
authors.lastname: Byun
authors.forename: Yoon Jin
authors.initials: YJ
authors.lastname: Choi
authors.forename: Keun Ho
authors.initials: KH
authors.lastname: Lee
authors.forename: Jong Sup
authors.initials: JS
authors.lastname: Park
authors.forename: Sung Jong
authors.initials: SJ
authors.lastname: Lee
authors.forename: Soo Young
authors.initials: SY
authors.lastname: Hur
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D006801:Humans; D010051:Ovarian Neoplasms / Q000175:diagnosis* / Q000473:pathology; D056910:Republic of Korea
keywords: clinicopathological observation.; ovarian mass; premenarchal girl